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Abstract:

In Brief:

Following a suicide bombing attack, numerous casualties with multiple penetrating wounds and blast injury are brought to the emergency department. Attention is directed at evaluating the degree of injury produced by each missile and to the care of seemingly moderate casualties. Implementation of a predetermined plan and a centrally coordinated effort are essential to achieve optimal utilization of manpower and resources.

Abstract:

In Brief:

The majority of 1156 urgent and non-urgent casualties from 33 mass casualty incidents in Israel were evacuated to the nearest hospital rather than to a trauma center. The causes of this phenomenon are analyzed. Implications of these findings for hospital contingency planning and applicability of trauma guidelines under these circumstances are discussed.

Abstract:

In Brief:

Evidence-based answers to current controversies in open versus laparoscopic surgery for gastroesophageal reflux disease, including the impact of technical details on outcomes, are given in this systematic review of randomized controlled trials.

Abstract:

In Brief:

Rapid evolution of radiation therapy techniques has brought accelerated partial breast irradiation to the forefront as a potential local treatment option for women with breast cancer who are treated with conservative surgery. This review gives an overview of the biological rationale, techniques, potential benefits, complications, and planned national trials evaluating accelerated partial breast irradiation after conservative surgery.

Abstract:

In Brief:

Eighty patients suffering from achalasia underwent either laparoscopic myotomy or botulinum toxin injections. After 2 years, 86.5% of patients were symptom free after myotomy by comparison with 42% after botulinum injection, with no mortality and a similar morbidity in the 2 groups.

Abstract:

In Brief:

Patients with achalasia undergoing myotomy for failed pneumatic dilation were prospectively followed for a median of 10 years. Their outcome was at least as favorable as that of patients having an optimal response to a single pneumatic dilation. Previous dilations did not render surgery more difficult.

Abstract:

In Brief:

Among 110 patients with FAP that had restorative proctocolectomy at least 11 years ago, none have developed cancer of the upper gastrointestinal tract or the pouch, but 13 have developed mesenteric desmoid tumors, and 2 have died of these tumors.

Abstract:

In Brief:

Sentinel lymph node (SLN) biopsy using a radioisotope is a technically feasible and minimally invasive approach for the assessment of nodal status in patients with gastric cancer. It may provide surgeons with information that allows the determination of the extent of lymphadenectomy in gastric cancer. The technique awaits a multicenter validation study.

Abstract:

In Brief:

The authors show that abdominal wall lift is a better approach than conventional capnoperitoneum for laparoscopic cholecystectomy in terms of preservation of cardiac output and faster cognitive recovery. However, the lift is shown to be associated with more difficult task execution.

Abstract:

In Brief:

Patients with early hepatocellular carcinoma had a different clinical background and good surgical outcomes; therefore, it should be recognized that early hepatocellular carcinoma is a distinct clinicopathological entity.

Abstract:

In Brief:

Intraductal papillary mucinous neoplasms of the pancreas is a rare tumor whose natural history and prognostic features have not been well defined. Although the majority of patients fair well, poor outcome in a subset of patients can be predicted by the presence of adverse pathologic factors.

Abstract:

In Brief:

Expansion of already-formed arterial aneurysms once proteolytic injury has started can be interpreted as the result of a chronic healing failure. Endovascular cell therapy using vascular smooth muscle cells is shown to promote healing and stability in already-developed aortic aneurysms obtained after matrix injury by matrix metalloproteases in rats.

Abstract:

In Brief:

Two studies exist in the current literature that indicate that the incidence of perioperative stroke in patients undergoing a neck dissection is quite high: 3.2% and 4.8%. The implications of these results are significant because they suggest a need for preoperative screening and/or intervention for carotid artery pathology. A database analysis was performed on all neck dissections performed in a geographically defined region to verify the above results.